Banca de DEFESA: LUCIANA SOARES RODRIGUES

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LUCIANA SOARES RODRIGUES
DATE: 10/06/2022
TIME: 13:30
LOCAL: Videoconferência
TITLE:

DESCRIPTION OF BENZODIAZEPINENICS IN ELDERLY: FACILITATORS, DIFFICULTIES AND STRATEGY FOR IDENTIFICATION OF PATIENTS ELIGIBLE FOR THE PROCESS

KEY WORDS:

Deprescriptions; Aged; Benzodiazepines; Drugs of Continuous Use; Primary Health Care.

PAGES: 129
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Benzodiazepines (BZDs) are among the drugs with a high prevalence of consumption by the elderly population. They are indicated for shortterm therapeutic effects, and may cause undesirable effects, being a drug considered inappropriate for the geriatric population. Therefore, it is essential to plan strategies to rationalize the use of BZD among the elderly. Objectives: To develop tools that contributes to the process of deprescription of BZD in elderly users of the Unified Health System (SUS). Methods: This research was divided into two sub-studies. Substudy 1, corresponds to the elaboration and validation of an instrument on the facilitating and hindering aspects of the process of deprescription of BZD in the elderly, it is a study developed in three stages,namely: (1) methodological, represented by a review of literature, (2) semi-structured pilot interview with 25 elderly people undergoing clonazepam deprescription and (3) content validation using the Delphi technique. Asmeasures to evaluate the results obtained, the agreement of the evaluation wasanalyzed through the content validity coefficient (CVC). A value greater than or equal to 0.8 was considered as an acceptable level of agreement. Substudy 2 cross-sectional study that sought to analyze the possibility of identifying potential patients eligible for the deprescription of benzodiazepines through secondary data present in the medical records of the elderly. Data collection was carried out from July to November 2020. To identify potential patients who are candidates for deprescription, the following parameters were used: a) Insomnia record by itself or insomnia caused by comorbidity already undertreatment; b) Patients aged ≥ 60 years: using BZD regardless of duration. Results: In sub-study 1, validation was carried out by 50 specialists with training and/or experience in the area of Primary Health Care and/or Elderly Health, including doctors, pharmacists and nurses. The instrument was considered validated in the first evaluation round, in which all the items evaluated had a CVC greater than 0.8 in the experts’ assessment. However, they proposed suggestions for improvements that were incorporated into the final version of the questionnaire. In substudy 2, among the 332 medical records analyzed, 255 (76.8%) were female and 264 (79.5%) were aged between 65 and 70 years. Most patients performed prescription renewals 267 (80.4%) in an interval of xi zero to three months. A significant portion 202 (60.8%) did not contain information about the reason for prescribing BZDs and when considering the date of the first prescription, it was identified that most of the elderly 241 (72.6%) used it for a longer period of time. To six years. In the information obtained, only 17 (5.1%) presented eligibility criteria for deprescription. Conclusion: Substudy 1: The validated instrument presents itself as an important tool to be used by health professionals to optimize the BZD deprescription process, having an adequate clarity and validity index. Substudy 2: In view of the absence of data describe in the evolution of the patient treated at the Basic Health Units, in this study, it is possible to perceive the impossibility of using the medical records as a screening strategy for the identification of potential candidates for the deprescription of BZD.

BANKING MEMBERS:
Presidente - 1039964 - ANDRE DE OLIVEIRA BALDONI
Externo ao Programa - 1819016 - DANIEL NOGUEIRA CORTEZ
Externa à Instituição - JESSICA AZEVEDO DE AQUINO - UFMG
Externa à Instituição - LILIANA BATISTA VIEIRA - UNIFAL-MG
Externo à Instituição - MARCIO GALVÃO GUIMARÃES DE OLIVEIRA - UFBA
Externa à Instituição - MARIA AUXILIADORA PARREIRAS MARTINS - UFMG